Jones Harrison Residence
3700 Cedar Lake Avenue, Minneapolis, MN 55416


Jones Harrison Residence is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245460. The address is 3700 Cedar Lake Avenue, Minneapolis, MN 55416. The zip code is 55416. The phone number is 6129202030.


Jones Harrison Residence · 3700 Cedar Lake Avenue, Minneapolis, MN 55416

Federal Provider Number 245460
Provider Name JONES HARRISON RESIDENCE
Address 3700 CEDAR LAKE AVENUE
MINNEAPOLIS, MN 55416
Phone Number 6129202030
SSA County Code 260
County Name Hennepin
Ownership Type Non profit - Corporation
Certified Beds 163
Certified Beds Residents 144
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name JONES HARRISON RESIDENCE
Date First Approved to Provide Medicare Medicaid Services 04/01/1987
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.5059
Reported LPN Staffing Hours per Resident per Day 0.94063
Reported RN Staffing Hours per Resident per Day 0.66597
Reported Licensed Staffing Hours per Resident per Day 1.6066
Reported Total Nurse Staffing Hours per Resident per Day 4.1125
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08368
Expected CNA Staffing Hours per Resident per Day 2.65072
Expected LPN Staffing Hours per Resident per Day 0.55567
Expected RN Staffing Hours per Resident per Day 0.785
Expected Total Nurse Staffing Hours per Resident per Day 3.99138
Adjusted CNA Staffing Hours per Resident per Day 2.31964
Adjusted LPN Staffing Hours per Resident per Day 1.40502
Adjusted RN Staffing Hours per Resident per Day 0.6339
Adjusted Total Nurse Staffing Hours per Resident per Day 4.15322
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 01/12/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 12/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 10/23/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 18
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Jones Harrison Residence

Owner Name Role Association Date
BUYTENDORP, JOANN (Individual) MANAGING EMPLOYEE since 01/01/2006
REMPFER, COLLEEN (Individual) DIRECTOR since 03/17/2006

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